Provider Demographics
NPI:1518770791
Name:MARTIN, JAMIE J (RN)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:J
Last Name:MARTIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:JO
Other - Last Name:REHBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:37 WEATHERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3739
Mailing Address - Country:US
Mailing Address - Phone:315-226-0911
Mailing Address - Fax:
Practice Address - Street 1:37 WEATHERWOOD LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3739
Practice Address - Country:US
Practice Address - Phone:315-226-0911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY810245163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool